Tertiary hyperparathyroidism
Tertiary hyperparathyroidism
Updated: 07/02/2023
© Jun Wang, MD, PhD
General
features
- Autonomous hypersecretion of PTH due to parathyroid hyperplasia/adenoma arising from longstanding secondary hyperparathyroidism
- Some authorities reserve the term for secondary hyperparathyroidism that persists after successful renal transplantation
- Often detected after hemodialysis or transplantation corrects the renal disease
Clinical
presentations
- History of secondary hyperparathyroidism
- Presentation of underlying disorders
- Possible diffuse calcinosis
Key laboratory findings
- Abnormalities of underlying disorder, such as abnormal renal function test
- Elevated levels of PTH
- High serum phosphorus
- Elevated calcium
Treatment
- Surgery
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